Required Texts:
Freed, D. (2000). Motor speech disorders: Diagnosis and treatment. California: Singular Publishing Group.
Love, R., (2000).  Childhood Motor Speech Disability. MA:  Allyn and Bacon
Ryalls, J., Behrens, S. (2000).  Introduction to speech science:  From basic theories to clinical applications. MA: Allyn and Bacon.

Nature of Course Content
     Catalog Description: This course is designed to provide students with knowledge of speech science applications for the assessment and treatment of children and adults with motor speech disorders. Prerequisite: SPA 313 or its equivalent.
     Course Organization and Rationale:  The course will begin with an overview of respiration, phonation, articulation, resonance and prosody, their acoustic correlates, and their impact on speech production.  There will be an overview of instrumentation used in assessment and in therapy with a lab. Analysis and interpretation of acoustical information will be stressed.  Pharmacological approaches to motor speech disorders will be studied. General assessment of motor speech disorders will be followed by a detailed discussion of assessment and treatment. Acoustic information used in making differential diagnosis of the motor speech disorders will be examined.  Biofeedback using instrumentation in therapy, and using instrumentation to demonstrating efficacy of treatment will be discussed. This course will satisfy in part the use of instrumentation in diagnosis and treatment of speech disorders, and will satisfy the basic entry level knowledge of assessment and treatment of motor speech disorders.

Goals:

1.  The student will describe apraxia and the dysarthrias on the basis of underlying neuropathology and perceptual characteristics and relate these to their acoustic correlates.  (Anatomy/Etiology/ Characteristics/Acoustics)
2.  The student will demonstrate knowledge of techniques and their purpose in the assessment of articulation, resonance, phonation, prosody and respiration  in indivduals with dysarthrias(Assessment, anatomy, acoustics, physiology).   
3.  The student will demonstrate knowledge and purpose of the use of instrumentation in the assessment of the the parameters of speech and voice in dysarthrias and apraxia of speech (Assessment, anatomy, acoustics, physiology)
4.  The student will describe treatments procedures for improving articulation, resonance, phonation, prosody and respiration in the individual with the dysarthrias. (Treatment)
5.  The student will describe treatment methods for improving speech production in individuals with apraxia (Treatment)
6.  The student will describe assessment and treatment methods for developmental apraxia and dysarthrias. (Assessment/Treatment)
7.  The student will examine issues of efficacy in the treatment of acquired speech disorders. (Treatment)

Teaching Methods: These objectives will be accomplished via three tests, a required paper, a motor speech/acoustic notebook, assigned readings on speech science applications, videos, examination of acoustical information, and speech lab application assignments.

Course Requirements: There will be three major examinations,  two research papers (one major paper and one review of findings) and paper critiques, one pharmacological study, an application notebook, and speech lab assignments.

Method of Evaluation:
Grade composition:
Tests and Quizzes: 65%
Pharmacological Study: 5%
Diagnostic Testing 5%
Paper on the psychological impact of a motor speech disorder 5%
Major Paper 10%
Paper Critiques and Speech Science Application Notebooks: 5%
Lab assignments: 5%

The grades will be averaged and a letter grade will be assigned according to the following scale:
90-100 = A; 80- 89 = B;  70-79 = C;  60-69 = D; Below 60 = F

Attendance Policy: Students are expected to attend class. When it is necessary for a student to be absent, especially on a day when an exam is scheduled, the student should contact the instructor before class, stating the reason for the absence, and arrange to make up work in advance, or within one week of the date of the missed exam. The only acceptable excuses for missing exams or deadlines for assigned projects or activities are
the illness of the student, documented by a written medical excuse, or the death of an immediate family member. Missed exams, or late activities and projects will be graded as "0" (zero) unless excused as indicated. Any student who misses three consecutive classes or a total of four will be reported to the Head of the Division. Students who are not properly registered for the course will not receive credit for the course. It is the responsibility of each student to make sure that her or his registration is complete and that her or his name appears on the class rolls. The
last day to add a class is January 20.

Academic Dishonesty policy: MUW has a policy on academic dishonesty, which can be found on page 51 of the MUW Bulletin, 2003-2004. The Academic Council defines academic dishonesty as "cheating, plagiarism, fabrication, falsification , or other actions that violate commonly accepted intellectual and ethical standards within academic and scientific communities". Academically dishonest acts include but are not limited to the following examples: (a) taking credit for anthers work on tests and assignments, (b) fabricating academic records, or research, (c) violating research and academic regulations, (d) interfering with another student’s academics, (e) interfering with the investigation of academic dishonesty, (f) using any ideas or material without citing sources. It is the students’ responsibility to read and refrain from acts considered dishonest in the Student Guide for these and further examples of academic dishonesty. A copy of the Graduate School policy on plagiarism can be obtained from the office manager. The penalty for academic dishonesty is VERY SEVERE.

STUDENTS WITH DISABILITIES: It is the responsibility of students who have professionally diagnosed disabilities to notify the instructor so that necessary and/or appropriate modifications can be made to meet any special learning needs.

Authorized persons in the clinic
Only individuals who have a legitimate reason to be in the clinical area of the MUW Speech and Hearing Center (that is, beyond the waiting room) will be allowed to go there.  Under no circumstances should any unauthorized individual be left in any area of the Center where they might have access to confidential information.

Schedule of Classes:

Jan 12 -Introduction and Overview of acoustic parameters and measures used in speech science
            Assignment: Read Ryalls, J., Behrens, S. (2000).  Introduction to speech science:  From basic theories                 to clinical applications. MA:  Allyn and Bacon.  Chapters 3-10; and 17-18.
Jan 26-  Overview of Application of Speech Science in the Assessment and Treatment of Acquired Speech
                Disorders and Overview of Instrumentation used in Assessment and Treatment; Presentation of the                         Motor speech and case study CDs
             Reading Assignment:  Rosenfield, D. B. (2001).Pharmacologic Approaches to Speech Motor Disorders. In              D. Vogel  & Cannito, M. P. (Eds.), Treating disordered speech motor control (pp. 27-78). Austin, TX:Pro-Ed
Feb 2–  The Evaluation of Motor Speech Disorders; Listen to Aronsons Tapes
             Assignment: Read Freed: Evaluation of Motor Speech Disorders & The Motor System, Chapter 2-3
Feb 9-  Flaccid Dysarthria;
             Assignment:  Read Freed: Flaccid Dysarthria, Chapter 4;  (Pharmacological Study due)
Feb 16-  TEST: Ryalls text, acoustic parameters and measures, instrumentation used in diagnostic and treatment of motor speech disorders (class notes, handouts and CDs), and Freed Chapter 2 and 4.
Feb 23-Mar 1 - Spastic Dysarthria / Unilatral Upper Motor Neuron Dysarthria
             Assignment: Read Freed: Spastic Dysarthria/Unilateral Upper Motor Neuron Dysarthria Ch. 5 and 6.
Mar 1 -15   Unilateral UMN continued/ Ataxic Dysarthria 
             Assignment:  Read Freed: Ataxic Dysarthria Ch. 7; (Psychological aspects of a motor speech disorder                 paper due)
Mar 22-  Hypokinetic Dysarthria
             Assignment:  Read Freed:  Hypokinetic Dysarthria Ch. 8
Mar 29- Hyperkinetic Dysarthria (First draft of paper due to group members)
             Assignment:  Read Freed:  Hyperkinetic Dysarthria Ch. 9
April 5-  Mixed Dysarthria
             Assignment:  Read Freed Mixed Dysarthria Ch. 10 (Due: Diagnostic Testing Project)
April 12-   TEST:  Chapter 5-10
April 19-  Apraxia
              Assignment Read Freed Apraxia of Speech Chapter 11
April 26-  Developmental Apraxia (Paper and Critiques due)
May 3-  Developmenatal Dysarthria (Notebooks and Lab Assignments Due)
May 10-    Final Exam:  Freed Chapter 11; Notes on Apraxia and Dysarthria

Note these days:
Jan 20- Last day to enter classes for credit and change from grade to pass-fail
Jan 30- Last day to drop a course without receiving a grade of WP or WF or change from credit to audit
Feb 27 -Last day a course may be dropped
Mar 8-12 Spring Holiday
April 23 Last day to withdraw from the University

Projects:

1. Pharmacological Study: You will be given a chapter on Pharmacological Approaches to Motor Speech Disorders to read.  Summarize the information.  Include three comprehensive essay-type study questions with the answers on the chapter.  Insert findings from two journal articles (you may use the internet) into your summary on pharmacology and motor speech. Turn in the article with the bib with your assignment. Due: Feb. 9;  10% of Grade

2.  Paper on Psychological aspects (impact) of a motor speech disorder.
Write a short 1-2 page paper on psychological impact of a motor speech disorder reporting your findings. Cite your sources.  You should have at least 2 sources. Include a bibliography. Due: Mar 15;    5% of the Grade

3.  Diagnostic Testing:  Practice giving a published test for dysarthria or apraxia with a fellow student (one of you give a dysarthria test the other an apraxia test for variety).  Turn in a report on the test you gave.  State the tasks you gave, what you were testing for, and how you might use this information in the treatment for apraxia or disarthria.
Due April 5; 5% of the Grade

2. Major paper:
a.  The focus of the paper must be on Treatment Efficacy/Functional Outcomes.
b.  The paper must include at least five primary references in a peer reviewed journal.  Additional references are    acceptable beyond this requirement (e.g. articles in ADVANCE, internet resources, etc.).
c.  The paper should be 5 to 10 pages in length.
d.  The paper must follow APA style (4th or 5th edition).
e.  Begin the paper with a brief description of the treatment approach if you are assessing the effectiveness of a single treatment strategy.
f.  Focus of paper
    1.  Papers can either have a general topic (e.g. "Use of rate control in management of dysarthria" or "The use of augmentative communication with patients who have acquired dysarthria") or can be on a specific topic (e.g. "The effects of the Lee Silverman Voice Treatment for patients with Parkinson's Disease" or "Efficacy of the use of palatal lift prosthesis for patients with spastic dysarthria", or "Melodic Intonation Therapy for patients with acquired apraxia of speech".)
    2.  Papers can focus on nonbehavioral approaches to treatment (e.g. "Effect of pharmacological approches to the treatment of Parkinson's disease on hypokinetic dysarthria" or  "Effect of Pallidotomy on the speech of patients with Parkinson's Disease."
Medline should be helpul in enabling you to find references.
Critical factors:
a.  Is information current? Are references up to date?
b.  Is the paper coherent (understandable)? Is it cohesive (Does it flow nicely?)
c.  Does the paper follow APA style?
d.  Is grammar/syntax correct?
e.  Has information been integrated with other knowledge or has it simply been restated without apparent understanding?
f.  Does the majority of the paper focus on efficacy/functional appropriateness of treatment?
REMEMBER: You are interested in the effect of treatment on speech.
Due: April 26;  10% of Grade

3.  Paper critiques:  You will be divided into a three-some.  Each of you will be responsible for critiquing the first drafts of the other two members of the group.  You should critique the papers based on the requirements listed above.  Give the critique to the student who wrote the paper. Turn in a copy of the critique to me.  You will be graded on your critique.  As a writer of the paper, you may choose not to alter your paper according to the criticism. Due April 26;
Partial fulfillment for 5% of grade

4.  Speech Science Application Notebook: This notebook should be designed to identify speech science applications for the dysarthrias. As you complete your readings and are provided with information obtained via lecture or lab, you will find characteristic acoustical information on each of the dysarthrias which can assist in making a differential diagnosis for the various dysarthrias.  Record these in your notebook.  In addition, you will find biofeedback treatment applications using instrumentation for the various dysarthrias.  Record these in your notebook. Due May 3; Partial fulfillment for 5% of grade.

5.  Lab assignments: During most of the classes, at least some portion of the class will be spent in the speech lab.
Assignments relating to acoustics in general and acoustic correlates to motor speech disorders will be given.  A written explanation of each assignment will be given during class. As you complete the assignments, you will place them in a notebook. May 3; 5% of Grade